Patient was wearing oxygen 4 lpm via nc, she lit a cigarette and there was a flash fire and large bang noise.The fire caused second degree burns to the patient's face and the noise started the patient's dog (a pit bull mix) and the dog bit the patient on the hand.The patient did not notify anyone of this until a routine scheduled visit was made by the rn case manager on (b)(6) 2016.The patient declined to seek treatment at the local hospital or clinic, she reported that she has sustained flash burns on her face twice in the past and was able to heal them herself with antibiotic ointment and bagbalm.On friday the physician made a visit and ordered tdap vaccine, and keflex.The physician reports that the patient has reported that she will not use the oxygen because she is afraid of what might happen.The rn case manager attempted to visit the patient on friday afternoon, but the patient would not put the dog up and declined to have the nurse in the home.On saturday ((b)(6) 2016), (b)(6) received a call from the (b)(6), stating that the patient was found dead by the grandson's girlfriend who also resided in the home.
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